Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mariam Boulos, PH

Individual provider Pharmacist · NPI 1992199640

Mariam Boulos, PH is a Pharmacist in Bellevue, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2015
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Practice location Address checks out

3905 Factoria Mall SE
Bellevue, WA 98006 Not confirmed with CMS for 11 years — call before visiting
Phone: (425) 644-2925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH60402489 (WA)

Record details

NPI number1992199640
Entity typeIndividual (Type 1)
GenderFemale
Credentials PH
Sole proprietorYes
NPI enumeratedMarch 20, 2015
Last updated in NPPESMarch 20, 2015

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